Which of the following best describes the most important function of the health record?
Storing patient care documentation.
Who are the primary
... [Show More] users of the health record?
Clinical professionals who provide direct patient care
Which of the following elements is typically found in the paper health record?
Patient identification
Which of the following is an example of information?
The number of patients discharged has increased 175% over the past year.
How many linear filling inches can a shelving unit hold based on the following data?
Shelving unit shelf width=36 inches
Number of shelves per unit=9 shelves
Average record thickness-1/2 inch
324
Which of the following assists in locating misfiles in the paper-based filling systems?
Color coding
Which one of the following are included in a list of institutional users of the health record?
Blue cross and Blue Shield
The services provided by HIM departments in acute care hospitals usually include all the following except:
A.) Medical transcription
B.) Medical billing
C.) Clinical coding
D.) Release of information
B.) Medical billing
The patient registration department assists the HIM department in what way?
Assigning the health record number
Which of the following is an example of virtual HIM?
Employees who code from home
Which of the following HIM tasks is eliminated by the electronic health record system?
Assembly
The master patient index _____________________.
A.) Contains diagnosis and procedure information
B.) Contains basic demographic information about the
patient
C.) Is used to organize the documentation
D.) Is used for alphabet filling systems
B.) Contains basic demographic information about the patient
Consider the following sequence of numbers. What filling system is being used if these numbers represent the health record numbers of three records filed together within the filling system?
36-45-99
37-45-99
38-45-99
A.) Straight numerical
B.) Terminal digit
C.) Middle digit
D.) Unit
B.) Terminal digit
The annual volume statistic for general hospital are noted below. How many shelving units will be required to store this year's inpatient discharge records?
Average inpatient discharges=12,000
Average inpatient record thickness=3/4 inch
Shelving units shelf width=36 inches
Number of shelves per unit=6
A.) 41
B.) 41.67
C.) 42
D.) 74
C.) 42
Reviewing the health record for missing signatures, missing medical reports, and ensuring that all documents belong in the health record is an example of what type of analysis?
A.) Quantitative
B.) Qualitative
C.) Statistical
D.) Outcomes
A.) Quantitative
The coding of clinical diagnoses and healthcare procedures and services after the patient is discharged is what type of review?
A.) Proactive
B.) Prospective
C.) Concurrent
D.) Retrospective
D.) Retrospective
The release of information function requires the HIM professionals to:
A.) Follow clinical coding rules
B.) Abstract data into another system
C.) Disclose patient identifiable information to a third party
D.) Audit the healthcare claim
C.) Disclose patient identifiable information to a third party
Which system is the best suited for a small healthcare facility such as a one-physician practice?
Alphabetic filling system
In which of the following system does an individual receive a unique numerical identifier at the time of first encounter with a healthcare facility and maintain that identifier for all subsequent encounters?
Unit numbering system
A record not completed within the time frame specified in the medical staff rules and regulations is called a ______________.
A.) Suspended record
B.) Incomplete record
C.) Delinquent record
D.) Purged record
C.) Delinquent record
Which of the following should be taken into consideration when designing a health record form?
Including original and revised dates
Which of the following statements describes alphabetical fillings?
File the record alphabetically by the last name, followed by the first name, and then the middle initial.
Which of the following lists of names is in correct order alphabetical filling?
A.) Smith, Carl J. Smith, Mary A. Smith, Paul M. Smith, Thomas
B.) Carl J. Smith, Mary A. Smith, Thomas Smith, Paul M. Smith
C.) Smith, A. Mary Smith, J. Carl Smith, M. Paul Smith, Thomas
D.) Smith, Thomas Smith, Carl J. Smith, Mary A. Smith, Paul M.
A.) Smith, Carl J. Smith, Mary A. Smith, Paul M. Smith, Thomas
Which of the following is a micro-graphic method of storing health records in which each document page is placed sequentially on a long strip?
A.) Document image
B.) Microfilm roll
C.) Microfilm jacket
D.) Microfiche
B.) Microfilm roll
Which of the following tools is usually used to track paper-based health records that have been removed from their permanent storage locations?
A.) Deficiency slips
B.) Master patient index
C.) Outguides
D.) Requisition slips
C.) Outguides
Which of the following filling methods is considered the most efficient?
A.) Alphabetical filling
B.) Alphanumeric Filling
C.) Straight numeric filling
D.) Terminal digit filling
D.) Terminal digit filling
Which of the following indexes is key to locating a health record?
A.) Disease index
B.) Master patient index
C.) Operation index
D.) Physician index
B.) Master patient index
Which one of the following is in terminal digit order?
A.) 12-56-46, 13-58-39, 14-45-87, 15-85-22
B.) 12-56-36, 13-58-39, 14-75-87, 15-85-98
C.) 04-43-21, 55-32-07, 03-65-32, 19-54-02
D.) 33-56-45, 14-62-22, 17-77-01, 28-82-30
B.) 12-56-36, 13-58-39, 14-75-87, 15-85-98
An addendum to the health record should be dated _________.
A.) The day that the error was identified.
B.) The day the care provided occurred.
C.) The day the addendum was created.
D.) The day patient was discharged.
C.) The day the addendum was created.
Why should the copy and paste function should not be used in the electronic health record?
The content may contain outdated information.
What committee over see the development and approval of new form for health records?
Health information management committee.
What is the software that is used for voice recognition known as?
A.) Data mining
B.) Voice mail
C.) Electronic health record
D.) Natural language processing
D.) Natural language processing
How can the healthcare facility determine which physician has the best patient outcome?
A.) Qualitative analysis
B.) Data mining
C.) Quantitative analysis
D.) Version control
B.) Data mining
Critique the statement:
Version control is not an issue in the EHR.
A.) This is a true statement.
B.) There are issues related to versions of documents, such
as there must be a flag to indicate a previous version.
C.) There are issues related to versions of documents, such
as each versions should be visual to all users.
D.) There are issues related to versions of documents
which include the need to delete the old version when
a new one is added.
B.) There are issues related to versions of
documents, such as there must be a flag to
indicate a previous version. [Show Less]